The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mc Lean and Virginia

63 active clinicians are listed under Counselor - Professional with a practice address in Mc Lean, VA (6,481 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mc Lean

4.8% of these 63 clinicians have the CMS telehealth indicator.

17.5% of these 63 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-23

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701004285

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NY 01104101

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location May 23, 2022

Registered at 1499 CHAIN BRIDGE RD STE 201, MC LEAN, VA 221015704 (Tel: 7036277265)

📍

Updated Business Mailing Address May 23, 2022

Registered at 44715 PRENTICE DR UNIT 315, ASHBURN, VA 201468017 (Tel: 7036277265)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2022

Counselor (license number reported to NPPES: NY 01104101)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 08, 2007

Registered at 12900 MIDDLEBROOK RD, GERMANTOWN, MD 208742672 (Tel: 3015287927)

📍

Business Mailing Address (Initial Record) July 08, 2007

Registered at 12900 MIDDLEBROOK RD, GERMANTOWN, MD 208742672 (Tel: 3015287927)

👤

Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as LIDA FAR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: MD LGP254)

🟢

Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548309628

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 06, 2007

Last Update: May 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

44715 Prentice Dr Unit 315

Ashburn, VA 201468017

Phone: 7036277265

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.